Muscle-sparing Axillary Thoracotomy

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Modified muscle sparing posterolateral thoracotomy.

A modified posterolateral thoracotomy is described that combines the advantages of complete muscle sparing through a thoracolumbar fascial slide with excellent exposure. The technique is easy to perform. The procedure was associated with relatively little postoperative pain, coughing was effective, and early ambulation was achieved. Experience with this approach in the first 49 patients suggest...

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Pain and physical function are similar following axillary, muscle-sparing vs posterolateral thoracotomy.

STUDY OBJECTIVES We set out to determine whether there is a difference in postoperative pain and recovery after the patient undergoes the axillary muscle-sparing incision (ie, muscle-sparing thoracotomy [MT]) vs the modified posterolateral incision (ie, posterolateral thoracotomy [PT]). DESIGN Analysis of a database originally collected to determine the effect of the timing of epidural analge...

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Intercostal thoracotomy in 20 dogs: muscle-sparing versus traditional techniques

The levels of pain, duration of approaching and closure, and surgical exposure associated with intercostal thoracotomy were compared between muscle-sparing and traditional techniques in 20 dogs. Postoperative pain was assessed based on numerical pain scores using behavioral observation, heart rate, respiratory rate, and wound palpation. Time for approaching and closure were measured, and the ex...

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eComment. Muscle sparing thoracotomy for the apical posterior mediastinal lesions.

We thank Yang et al. for their study about the resection of the posterior mediastinal lesions [1]. We want to add a comment on the approach for the posterior mediastinal tumours. We agree that thoracoscopic resection of posterior mediastinal tumours can be performed successfully with decreased operation time, hospital stay and patient discomfort. But we think that those that are located to the ...

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Muscle-sparing versus posterolateral thoracotomy: a prospective study.

OBJECTIVE Although the thoracotomy incision is guided in part by the exposure required, both cosmesis and the potential for improved recovery are important factors to be taken into account. We conducted a prospective randomized study in order to compare muscle sparing thoracotomy (MST) and standard posterolateral thoracotomy (PLT) for postoperative pain and physical function during and after ho...

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ژورنال

عنوان ژورنال: Operative Techniques in Thoracic and Cardiovascular Surgery

سال: 2017

ISSN: 1522-2942

DOI: 10.1053/j.optechstcvs.2018.02.004